Barrier film 28ml spray no stng cavilon cost at US hospitals
BARRIER FILM 28ML SPRAY NO STNG CAVILON · HCPCS A4369
$4.77
lowest cash price
$19.50
national median
$169.00
highest cash price
58
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $4.77–$169.00 — the variation is the story.
Median cash price over time
Jan 1, 2026 ($13.68) → Sep 1, 2026 ($16.80)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| California | 6 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 8 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 41 | $5.00 | $16.00 | $106.00 |
| Illinois | 12 | not published by hospital | not published by hospital | not published by hospital |
| Indiana | 8 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 24 | $15.29 | $19.11 | $29.40 |
| Kansas | 3 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 1 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 11 | $4.77 | $4.77 | $4.77 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 7 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 17 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 22 | not published by hospital | not published by hospital | not published by hospital |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 3 | $16.80 | $18.60 | $27.60 |
| South Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 14 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 61 | $13.68 | $19.50 | $169.00 |
| Virginia | 10 | $101.00 | $139.00 | $139.00 |
| Washington | 1 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 1 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $3.22 – $3.56 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $1.00 – $3.02 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $2.74 – $3.02 |
| Atrium Health Mercy | Charlotte, NC | not published | $3.46 – $4.24 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $3.56 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1.02 – $3.56 |
| Covenant Children's Hospital | Lubbock, TX | not published | $3.24 – $3.24 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $2.03 – $6.78 |
| Clara Maass Medical Center | Belleville, NJ | not published | $2.03 – $6.75 |
| Community Medical Center | Toms River, NJ | not published | $1.98 – $6.75 |
| Atrium Health Anson | Wadesboro, NC | not published | $3.46 – $3.57 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $1.44 – $3.65 |
| Covenant Hospital Plainview | Plainview, TX | not published | $3.10 – $3.10 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $1.44 – $3.65 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $4.08 – $4.08 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $1.44 – $5.42 |
| Berger Hospital | Circleville, OH | not published | $4.06 – $4.06 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $1.44 – $5.42 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $1.44 – $4.61 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $1.44 – $3.65 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $1.69 – $3.39 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $1.44 – $3.65 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $4.08 – $4.08 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $1.44 – $3.65 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $1.44 – $3.65 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $4.92 – $14.10 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $7.40 – $7.40 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $1.44 – $3.65 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $4.08 – $4.08 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $5.09 – $5.44 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $1.44 – $3.65 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $4.92 – $8.68 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $4.92 – $13.78 |
| Adventhealth Ottawa | Ottawa, KS | not published | $12.28 – $12.28 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $2.37 – $6.78 |
| Lincoln Health | Damariscotta, ME | not published | $2.69 – $7.10 |
| Stephens Memorial Hospital | Norway, ME | not published | $2.69 – $7.10 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $2.96 – $9.07 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $2.91 – $3.15 |
| North Central Bronx | Bronx, NY | not published | $1.91 – $3.91 |
| Corewell Health Wayne | Wayne, MI | not published | $2.45 – $2.45 |
| Corewell Health Troy | Troy, MI | not published | $2.45 – $3.43 |
| Corewell Health Trenton | Trenton, MI | not published | $2.45 – $2.45 |
| Corewell Health Taylor | Taylor, MI | not published | $2.45 – $2.45 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $2.45 – $3.45 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $2.91 – $3.15 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $15.46 – $15.46 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | not published | $1.44 – $3.65 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $3.24 – $13.51 |
| Covenant Medical Center | Lubbock, TX | not published | $3.24 – $13.51 |